Keszthelyi Márton, Leipold Gergő, Lőczi Lotti, Török Marianna, Ács Nándor, Várbíró Szabolcs
1 Semmelweis Egyetem, Általános Orvostudományi Kar, Szülészeti és Nőgyógyászati Klinika Budapest, Üllői út 78/A, 1082 Magyarország.
Orv Hetil. 2023 Jun 25;164(25):988-992. doi: 10.1556/650.2023.32776.
Uterine rupture is a rare complication during pregnancy which may even lead to the death of the mother and the fetus. In this report, the management of a herniated amniotic sac associated with uterine dehiscence is presented. A 25-year-old primigravida at 30 weeks with a history of a previous unilateral salpingectomy was transferred to our hospital with the potential diagnosis of a herniated amniotic sac, which was discovered during a routine ultrasound scan. The patient had no prior complaints or any other signs that would have indicated a serious condition during her pregnancy. She underwent an emergency cesarean section and a two-layer closure of the lesion. An adequate suture during laparoscopic salpingectomy provides prevention of uterine rupture during subsequent pregnancies. A medical history with a previous laparoscopic dehiscence should necessitate a more frequent sonographic observation during pregnancy. Orv Hetil. 2023; 164(25): 988-992.
子宫破裂是孕期一种罕见的并发症,甚至可能导致母亲和胎儿死亡。在本报告中,介绍了一例与子宫裂开相关的羊膜囊疝出的处理情况。一名25岁初产妇,孕30周,有单侧输卵管切除术史,因在常规超声扫描中发现可能为羊膜囊疝出而转入我院。该患者孕期无既往主诉或任何其他提示严重病情的体征。她接受了急诊剖宫产及病变部位的两层缝合。腹腔镜输卵管切除术中进行充分缝合可预防后续妊娠期间子宫破裂。既往有腹腔镜手术裂开病史者,孕期应更频繁地进行超声检查。《匈牙利医学周报》。2023年;164(25):988 - 992。